Electric Safety Presentation

We'll be happy to come and present an electrical safety presentation to your school. You can request a presentation by filling out the form below. Just provide the information requested, submit the form, and we'll notify you of the scheduled date. Thank you for allowing us to present electrical safety information to your students.

*Fields marked with an asterisk are required.

Contact Information

*Contact's First Name:

*Contact's Last Name:

*Phone Number:

*School/Organization Name:

*School/Organization Address:

School District:

*City:

State:

Zip Code:

Fax Number:

*Contact's email address:

*Grade Level:

*Qty of Attendees?

(Your school will receive books and pencils for the number of attendees you are submitting.)

This is my first time requesting a presentation.
I've participated in the presentation program before and would like to schedule again

A representative will contact you to schedule a presentation date and time.

If you need to cancel a scheduled presentation please call 860-665-3477. Please allow 24-48 hours notice when possible. Likewise,CL&P will contact you in the case of a cancellation

Internal Use Only

BRC Code

Date (mm/dd/yy)